JACKLYN L QUADE (NPI# 1790078624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790078624 |
| Entity Type | Individual |
| Full Name | JACKLYN L QUADE |
| Credential | MD |
| Practice Address |
1051 N Canton Center Road Canton MI 48187-5097 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7348445400 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301098317 | MI | Allopathic & Osteopathic Physicians |
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
4301098317 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301098317 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1051 N CANTON CENTER ROAD |
| City | CANTON |
| State | MI |
| Zip Code | 48187-5097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144596545 | Maya Frances Holtrop Sheets | Pediatrics | 1051 N Canton Center Road, Canton, MI 48187-5067 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1326424805 | Vishnu Sai LLC | Internal Medicine | 6672 List St Nw, Canton, OH 44708-6419 | 2015-08-06 |
| 1619350501 | Ohio Pulmonary and Sleep Physicians LLC | Internal Medicine | 1445 Harrison Ave Nw Ste 101, Canton, OH 44708-2628 | 2015-07-09 |
| 1073932414 | Christina Powers | Internal Medicine | 470 Northside Cherokee Blvd, Ste 380, Canton, GA 30115-8015 | 2014-04-14 |
| 1083054902 | Umayr Azimi | Internal Medicine | 44237 Michigan Ave, Canton, MI 48188-2866 | 2013-06-25 |
| 1356699896 | John Anthony Ziolo | Internal Medicine | 141 Wedgewood Falls Dr, Canton, GA 30114-8928 | 2012-08-15 |
| 1437414018 | Wassim Chehouri | Internal Medicine | 1988 Elmhurst St, Canton, MI 48187-3119 | 2012-07-10 |
| 1679875892 | Sourabh Prabhakar | Internal Medicine | 2600 Sixth St Sw Ste A2-710, Canton, OH 44710-1702 | 2010-11-19 |
| 1033341060 | Zahoorul Hassan | Internal Medicine | 40592 Tamarack Dr, Apt#204, Canton, MI 48188-2828 | 2009-08-09 |
| 1114157963 | Ruhy Afza | Internal Medicine | 41411 Glade Rd, Canton, MI 48187-3769 | 2009-07-14 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.